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Pharmacology HESI ANSWERED PROFESSIONALLY 2023
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Pharmacology HESI ANSWERED PROFESSIONALLY 2023
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Pharmacology HESIThe nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is
most important for the nurse to assess? answer- Consumption of any alcohol or tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects should the nurse assess the client for during the initial dose? answer- Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses a client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should the nurse report to the healthcare provider concerning the OTC medication? (Select all that apply.) answer- Closed angle glaucoma. Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the nurse implement first? answer- Withhold
medication and report symptoms and vital signs to healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and shooting pains in both legs. Which medication is considered the best course of treatment for the nurse to administer? answer- High dose methylprednisolone intravenously.
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy. Which assessment finding would indicate the medication is being therapeuitc? answer- A decrease in blood ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates an understanding of how the medication works? answer- It facilitates the transport of glucose into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea? answer- Colchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks the nurse how the medication will help. Which is the best explanation to provide the client? answer- It will promote rapid tissue healing.
A nurse is providing medication education for a client prescribed a beta-blocking agents for treatment of glaucoma. Which statement by the client demonstrates an understanding of the mechanism of the medication? answer- It inhibits the aqueous humor production.
A nurse is planning a teaching session for a client newly prescribed a miotic drug for the
treatment of glaucoma. Which information should the nurse include in the teaching session? answer- The medication enhances the aqueous humor outflow.
The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting insomnia, and the HCP instructs the client to return in two weeks. The nurse should question which prescription? answer- Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction? answer- Take at same time each day one hour before eating a meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone. When teaching about this drug, which information in the client's history requires special emphasis by the nurse? answer- Works twenty hours a week as a lifeguard at the local pool.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client. Which assessment finding should the nurse use to evaluate the effectiveness of the medication? answer- The number on the numeric pain scale.
Based on the blood culture and sensitivity results, the healthcare provider prescribes an
IV aminoglycoside antibiotic and discontinues the current prescription for another broad spectrum antibiotic. The medication administration record indicates that the client received the broad spectrum antibiotic two hours ago. Which action should the nurse implement? answer- Administer the initial dose of the aminoglycoside antibiotic as soon as possible.
The nurse is providing medication teaching for a client who recently received a prescription for clozapine (Clozaril). Which instruction should be included in this client's teaching plan? answer- Rise slowly from a lying position.
A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which instruction
should the nurse include in this client's teaching? answer- Place under the tongue as needed every 5 minutes up to 3 times.
Which side effects should the nurse monitor for a client who is receiving dexamethasone (Decadron) following neurosurgery? (Select all that apply.) answer- Mood swings. Increased weight gain. Delayed incisional wound healing.
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